Just a DEXA scan. I don't know what other technologies may be available here in W. CO. I have had all of the relevant blood and urine tests. I am not sure how I would be handling my osteoporosis if I didn't have what they call "End stage" osteoarthritis in my right hip. It is painful and limiting and increases my risk of falling, probably even more than does my cat when he appears out of nowhere and snakes around my ankles. The less active I can be, the weaker my muscles and bones get, and I may have reached a tipping point where the dangers of doing nothing exceed the dangers of the available treatments. (I don't trust Big Pharma or their data, but I have seen plenty of dubious claims and programs on You Tube. I think that the anabolic treatments are scary, but that bisphosphonates were a bad idea to begin with and oversold anyway.)